Healthcare Provider Details

I. General information

NPI: 1104611516
Provider Name (Legal Business Name): NOUR BAYAN MAHMOUD ABU IRHAYEM MBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2025
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 IRVING ST. NW DEPT. OF INTERNAL MEDICINE
WASHINGTON DC
20010
US

IV. Provider business mailing address

110 IRVING ST. NW DEPT. OF INTERNAL MEDICINE
WASHINGTON DC
20010
US

V. Phone/Fax

Practice location:
  • Phone: 202-877-8271
  • Fax: 202-877-6292
Mailing address:
  • Phone: 202-877-8271
  • Fax: 202-877-6292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: